Select Medical Holdings (SEM) — Cash Flow Quality Index
Select Medical Holdings (SEM) has a Cash Flow Quality Index of -0.05x as of March 2026. Operating cash flow of $-3.46 Million is below net income of $74.73 Million, suggesting accrual-heavy earnings not yet converted to cash. Explore long-term investment intensity of Select Medical Holdings to see how much of total assets are deployed in long-term investments.
Cash Flow Quality Index
Operating Cash Flow
Net Income
Data as of
Select Medical Holdings Cash Flow Quality Index (2006–2025)
Historical Cash Flow Quality Index for Select Medical Holdings across 20 annual periods. Values consistently above 1.0x indicate high-quality earnings. Check tangible net worth ratio of Select Medical Holdings to evaluate the tangible quality of the company's equity base.
Annual Cash Flow Quality Index for Select Medical Holdings (2006–2025)
Year-by-year earnings quality comparison for Select Medical Holdings. For live market cap and the full company financial profile, see Select Medical Holdings (SEM) total market value.
| Year | Quality Index | Operating CF (USD) | Net Income | YoY Change |
|---|---|---|---|---|
| 2025 | 2.37x | $346.47 Million | $146.22 Million | ▲ +35.8% |
| 2024 | 1.75x | $517.86 Million | $296.70 Million | ▼ -10.1% |
| 2023 | 1.94x | $582.06 Million | $299.73 Million | ▲ +35.0% |
| 2022 | 1.44x | $284.82 Million | $198.03 Million | ▲ +79.2% |
| 2021 | 0.80x | $401.23 Million | $499.95 Million | ▼ -73.1% |
| 2020 | 2.98x | $1.03 Billion | $344.61 Million | ▲ +34.7% |
| 2019 | 2.21x | $445.18 Million | $201.03 Million | ▼ -20.7% |
| 2018 | 2.79x | $494.19 Million | $176.94 Million | ▲ +158.8% |
| 2017 | 1.08x | $238.13 Million | $220.65 Million | ▼ -61.0% |
| 2016 | 2.77x | $346.60 Million | $125.27 Million | ▲ +80.5% |
| 2015 | 1.53x | $208.41 Million | $136.00 Million | ▲ +15.1% |
| 2014 | 1.33x | $170.64 Million | $128.18 Million | ▼ -14.9% |
| 2013 | 1.57x | $192.52 Million | $123.01 Million | ▼ -19.4% |
| 2012 | 1.94x | $298.68 Million | $153.89 Million | ▲ +0.8% |
| 2011 | 1.93x | $217.13 Million | $112.76 Million | ▲ +9.7% |
| 2010 | 1.75x | $144.54 Million | $82.36 Million | ▼ -16.4% |
| 2009 | 2.10x | $165.64 Million | $78.89 Million | ▼ -49.5% |
| 2008 | 4.16x | $107.44 Million | $25.83 Million | ▲ +71.3% |
| 2007 | 2.43x | $86.01 Million | $35.43 Million | ▲ +1.2% |
| 2006 | 2.40x | $227.65 Million | $94.88 Million | — |